Senior Clinical Practice Performance Consultant

Explore opportunities with Logistics Health Incorporated (LHI), part of the Optum family of business. We're dedicated to simplifying the logistics of complex workforce health programs with cost-effective solutions and a seamless distribution process. With offices in La Crosse, Wis., a satellite office in Chicago and remote employees throughout the country, we have a variety of rewarding career opportunities for you. Elevate your career as you help us create a healthier tomorrow for everyone and discover the meaning behind Caring. Connecting. Growing together.
The Senior Clinical Practice Performance Consultant is a senior clinical subject matter expert within Optum Serve Health Services' Clinical Quality & Patient Safety function. The position provides enterprise-level consultation across clinical strategy, quality, regulatory alignment, policy and document governance, clinical business development, workforce and care-delivery model design, operational readiness, technology enablement, and continuous improvement. The consultant translates federal and state requirements, contract obligations, accreditation standards, evidence-based practices, and clinical operations into practical, scalable, and audit-ready solutions. The role develops and maintains multi-state clinical regulatory infrastructure; evaluates telehealth, telepresenter, mobile, home-based, occupational-health, readiness, and evaluative examination models; and supports collaborative-practice and supervisory governance for regulated clinical professionals. The role partners across Business Development, Capture and Proposal teams, Care Delivery, Program Operations, Quality, Compliance, Legal, Credentialing, Medical Directors, Clinical Enablement, Product, Technology, Privacy, Finance, Human Capital, Environmental and Occupational Health, and other enterprise functions. The Senior Clinical Practice Performance Consultant supports established programs and new initiatives by defining clinical service models, evaluating scope of practice and licensure requirements, developing and maintaining clinical policies and internal standards, identifying clinical and operational risk, supporting quality and surveillance activities, reviewing training and competency requirements, and advising on implementation and performance improvement.
Role Scope And Level Of Influence
Serves as a senior enterprise individual contributor and clinical advisor across multiple programs, functions, and strategic initiatives
Leads complex clinical analyses and cross-functional workstreams without relying on direct supervisory authority
Influences enterprise and program decisions through evidence, clinical judgment, structured analysis, and stakeholder engagement
Provides recommendations and escalates material risks while partnering with the accountable functions responsible for final legal, compliance, credentialing, medical, policy, and operational determinations
May mentor peers, guide project teams, facilitate governance activities, and provide functional leadership for assigned initiatives
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
Clinical Strategy and Performance
Provide senior-level clinical consultation for OSHS programs, enterprise initiatives, new service lines, and strategic growth opportunities
Evaluate clinical models for safety, quality, regulatory alignment, contractual compliance, operational feasibility, scalability, and workforce readiness
Develop and maintain enterprise clinical governance architecture, including governance charters, internal clinical standards, regulatory crosswalks, gap-assessment frameworks, evidence and artifact requirements, decision pathways, accountability structures, and implementation guidance
Translate complex clinical and regulatory requirements into practical standards for program leadership, operations, and frontline implementation
Identify enterprise-level clinical gaps, inconsistencies, and opportunities for standardization across programs
Apply High Reliability Organization principles to clinical decision-making, risk identification, and continuous improvement
Clinical Business Development and Solutioning
Serve as the clinical SME for RFIs, RFPs, contract modifications, capture activities, solutioning sessions, and new-business development
Interpret solicitation and contract requirements to define clinical services, care modalities, workflows, staffing models, professional qualifications, supervision structures, and quality requirements
Conduct clinical gap and capability analyses comparing customer requirements with organizational resources, policies, infrastructure, technology, and workforce capacity
Develop or review clinical narratives, staffing assumptions, qualification matrices, scope-of-service descriptions, transition plans, readiness requirements, and implementation strategies
Contribute to Quality Control Plans, Quality Management Plans, clinical metrics, audit methodologies, corrective-action pathways, and performance-monitoring structures
Identify clinical assumptions, dependencies, risks, cost drivers, and implementation requirements during proposal development and post-award transition
Scope of Practice, Licensure, Delegation, and Supervision
Research and assess federal and state requirements affecting licensed professionals, unlicensed assistive personnel, telehealth practice, mobile care, occupational health, home-based services, and other care-delivery models
Develop and maintain scope-of-practice standards and reference tools for physicians, advanced practice clinicians, nurses, medical assistants, emergency medical personnel, technicians, and other clinical or ancillary roles
Evaluate permitted functions, prohibited functions, supervision requirements, delegation rules, documentation expectations, competency requirements, and jurisdiction-specific limitations
Assess proposed staffing and workforce models against practice acts, board rules, federal authorities, contract requirements, credentialing standards, and internal policies
Advise on compact participation, federal exceptions, telehealth licensure, OCONUS considerations, and program-specific authorization
Develop, evaluate, and maintain governance frameworks for collaborative-practice, supervisory, delegation, and clinical-oversight relationships involving physicians, advanced practice clinicians, nurses, and other regulated professionals
Assess state-specific agreement, filing, notification, alternate-covering practitioner, physician-availability, quality-review, and documentation requirements and support implementation with accountable enterprise partners
Design and maintain enterprise regulatory matrices, quick-reference guides, decision tools, and state-specific implementation resources with defined source standards, review cadence, change tracking, and validation pathways
Identify and escalate unresolved scope, licensure, credentialing, supervision, or delegation risks to the appropriate accountable function
Clinical Policy and Document Governance
Lead or support the research, drafting, review, revision, standardization, and maintenance of clinical policies, procedures, standards, SOPs, work instructions, protocols, job descriptions, clinical forms, and implementation tools
Ensure clinical documents reflect evidence-based practice, professional standards, applicable requirements, accreditation expectations, contract obligations, and operational workflows
Coordinate interdisciplinary review with clinical SMEs, Operations, Legal, Compliance, Quality, Credentialing, Medical Directors, Enablement, and affected stakeholders
Support document intake, assignment, version control, approval, publication, change control, archival, and periodic review
Maintain traceability between source requirements, clinical decisions, approved standards, training, workflows, and audit tools
Identify conflicting, duplicative, outdated, or unsupported clinical documents and recommend consolidation or remediation
Regulatory, Accreditation, and Evidence Surveillance
Monitor and analyze changes in federal and state healthcare requirements, professional-practice standards, public-health guidance, and accreditation expectations that may affect OSHS operations
Conduct targeted regulatory and clinical research using authoritative primary sources
Develop impact assessments that distinguish explicit requirements, interpretation, operational implications, risks, and recommended actions
Evaluate changes affecting licensure, telehealth, occupational health, medication administration, laboratory services, infection prevention, medical equipment, clinical documentation, delegation, supervision, and workforce qualifications
Translate requirements into recommended changes to policy, training, workflow, quality controls, and operational processes
Maintain documented evidence, source citations, effective dates, jurisdictional limitations, and unresolved questions
Monitor pending legislation, proposed regulations, board actions, compact developments, and emerging professional standards; assess anticipated impact and recommend proactive policy, staffing, contracting, training, or implementation changes
Clinical Risk, Quality, and Patient Safety
Identify clinical, regulatory, operational, workforce, and patient-safety risks associated with current and proposed services

Work arrangement
Yes